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An appraisal of INTERNIST-I
1Oxford University Computing Laboratory, Programming Research Group, UK.
Artificial Intelligence in Medicine
|April 1, 1995
Summary
The INTERNIST-I expert system, developed in the 1970s, provided a foundational medical knowledge base. Its successor, Quick Medical Reference (QMR), shows promise as an electronic textbook for medical education and clinical use.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Medicine
- Clinical Decision Support
Background:
- The INTERNIST-I system was an early expert system developed in the 1970s.
- It aimed to diagnose multiple internal medicine diseases by simulating clinician behavior.
Purpose of the Study:
- To describe the form and operation of the INTERNIST-I expert system.
- To survey evaluations of the system and its impact.
- To identify the most promising successor system for medical education and clinical use.
Main Methods:
- Description of the INTERNIST-I system's architecture and functionality.
- Review of existing evaluations of INTERNIST-I.
- Survey of successor systems and their applications.
Main Results:
- The primary outcome was the creation of a valuable knowledge base.
- This knowledge base has been utilized in subsequent medical education and clinical systems.
- Quick Medical Reference (QMR) is identified as a highly successful successor system.
Conclusions:
- The INTERNIST-I project's legacy lies in its extensive knowledge base.
- QMR, leveraging this knowledge base, is poised to be a leading "electronic textbook" for medicine.
- The project's influence continues through its impact on modern medical informatics tools.